LA MEDIWAVE INC (NPI# 1477861656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477861656 |
| Entity Type | Organization |
| Organization Name | LA MEDIWAVE INC |
| Practice Address |
6200 Wilshire Blvd Suite 910 Los Angeles CA 90048-5801 |
| Practice Telephone | 3239655088 |
| Practice Fax Number | 3239651046 |
| Mailing Telephone | 3239655088 |
| Mailing Fax Number | 3239651046 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | GABRIEL RUBANENKO (OWNER) |
| Authorized Official Telephone | 3239655088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6200 WILSHIRE BLVD SUITE 910 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673733 | Daniel Hideo Tamura | Dentist | 6200 Wilshire Blvd, Suite 1209, Los Angeles, CA 90048-5801 | 2005-07-20 |
| 1558986034 | Ruby Magbuhat Comia | Dental Assistant | 6200 Wilshire Blvd, Los Angeles, CA 90048-5801 | 2020-06-10 |
| 1427589555 | Dermking Institute | Physician Assistant | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2017-03-21 |
| 1407397714 | Nevarez Chiropractic Corp | Chiropractor | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5810 | 2017-03-20 |
| 1689054546 | Jill Allen | Physical Therapist | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-06-05 |
| 1487047940 | Lauren Anne Layson | Physician Assistant | 6200 Wilshire Blvd, 910, Los Angeles, CA 90013 | 2015-03-09 |
| 1770974479 | Max Management, LLC | Durable Medical Equipment & Medical Supplies | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-02-17 |
| 1588054720 | Max Health Medical Group | Specialist | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-01-26 |
| 1043624489 | Daniel Capen, M.d., A Professional Corporation | Non-Pharmacy Dispensing Site | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 | 2014-06-13 |
| 1083026843 | Meredith E Harewood | Psychiatry & Neurology | 6200 Wilshire Blvd, Ste 1010, Los Angeles, CA 90048 | 2014-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644415 | Darryl C Harris Sr. | Pain Medicine | 2126 S La Brea Ave, Suite 104, Los Angeles, CA 90016-2277 | 2006-06-06 |
| 1447213830 | Jan Ovsey Sarkin | Pain Medicine | 2244 N Edgemont St, Los Angeles, CA 90027-1051 | 2006-04-08 |
| 1154933281 | Joshua Tobe | Pain Medicine | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2020-08-19 |
| 1043641152 | Sand Cosmetic Inc | Pain Medicine | 1964 Westwood Blvd, Suite #125, Los Angeles, CA 90025-4651 | 2013-11-29 |
| 1801160460 | Cynthia Mathis Md A Professional Corporation | Pain Medicine | 8930 S Sepulveda Blvd Ste 200, Los Angeles, CA 90045-3624 | 2012-02-29 |
| 1194028647 | Gs Medical Center Inc | Pain Medicine | 9601 S Sepulveda Blvd, Ste B, Los Angeles, CA 90045-5203 | 2010-12-06 |
| 1679881858 | Ortho Avr Inc A Medical Corporation | Pain Medicine | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 | 2010-09-21 |
| 1255461083 | Sanjog A. Pangarkar, M.d. | Pain Medicine | 100 Ucla Medical Plz, Ste. 760, Los Angeles, CA 90095-0001 | 2007-03-07 |
| 1497822415 | Christopher Kang Ching | Pain Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| 1649227984 | Angele Ryan | Pain Medicine | 1500 San Pablo St, Usc University Hospital, Los Angeles, CA 90033-5313 | 2006-05-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.